Mortality and prognostic factors among patients hospitalized for COVID-19 in the Intermediate Care Unit of a public hospital in Lima, Peru
DOI:
https://doi.org/10.24265/horizmed.2021.v21n1.05Keywords:
Pandemics, Coronavirus, Coronavirus infections, Mortality, Prognosis, HospitalizationAbstract
Objective: To describe the characteristics of patients hospitalized in the Intermediate Care Unit of the Hospital Uldarico Rocca Fernández and determine the factors associated with mortality. Materials and methods: An observational, descriptive and retrospective study carried out in the Intermediate Care Unit of the Hospital Uldarico Rocca Fernández in Lima, Peru, which includes patients hospitalized for SARS-CoV-2 from July 1 to September 30, 2020. Clinical records and hospital records were reviewed looking for epidemiological characteristics, clinical characteristics, results of additional tests on admission and the final outcome of hospitalization. Results: Seventy-one (71) clinical records were studied. The predominant epidemiological characteristics were males (80.28 %) and mean age (64.72 years ± 13.64). Most of the patients (61.97 %) had at least one comorbidity, out of which the most common ones were obesity (35.21 %) and hypertension (32.39 %). The mean hospital stay was 13 days (± 12 days) and the mortality rate was 71.83 %. Conclusions: Based on the results, this research supports the following: the male population has a greater risk of becoming ill. In addition, there are factors associated with a worse mortality prognosis, such as age over 60, admission at the emergency room with an oxygen saturation lower than 80 %, and prolonged hospital stay.
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References
Velavan T, Meyer C. The Covid-19 epidemic. Trop Med Int Health. 2020; 25(3): 278-80.
Hui D, Azhar E, Madani T, Ntoumi F, Kock R, Dar O. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health. The latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis. 2020; 91: 264-6.
Zaki A, Van Boheemen S, Bestebroer T, Osterhaus A, Fouchier R. Isolation of a novel coronavirus from a man with pneumonia in Saudi Arabia. N Engl J Med. 2012; 367: 1814-20.
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395(10223): 497-506.
Firas R, Mazhar A, Ghena K, Dunia S, Amjad A. SARS-CoV2 and Coronavirus Disease 2019: What we know so far. Pathogens. 2020; 9(3): 231.
Lu R, Zhao X, Li J, Niu P, Yang B, Wu H. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020; 395(10224): 565-74.
Organización Mundial de la Salud (OMS). Declaración sobre la segunda reunión del Comité de Emergencias del Reglamento Sanitario Internacional (2005) acerca del brote del nuevo coronavirus (2019-nCoV). [Internet]. 2020. Disponible en: https://www.who.int/es/news/item/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov)
Organización Mundial de Salud (OMS). Alocución de apertura del Director General de la OMS en la rueda de prensa sobre la COVID-19 celebrada el 11 de marzo de 2020. [Internet]. 2020. Disponible en: https://www.who.int/es/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
World Health Organization. Coronavirus disease 2019 (COVID-19) Situation Report - 77 [Internet]. 2020. Disponible en: https://apps.who.int/iris/handle/10665/331718?locale-attribute=es&
Ministerio de Salud (MINSA). Minsa: Casos confirmados por Coronavirus Covid-19 ascienden a 285 213 en el Perú (Comunicado N° 153). [Internet]. Perú; 2020. Disponible en: https://www.gob.pe/institucion/minsa/noticias/189369-minsa-casos-confirmados-por-coronavirus-covid-19-ascienden-a-285-213-en-el-peru-comunicado-n-153
Ministerio de Salud (MINSA). Alerta epidemiológica N° 13 – Coronavirus (COVID-19). [Internet]. Perú; 2020. Disponible en: https://www.gob.pe/institucion/minsa/informes-publicaciones/462473-alerta-epidemiologica-n-13-coronavirus-covid-19
Presidencia de la República. Decreto Supremo que declara en Emergencia Sanitaria a nivel nacional por el plazo de noventa (90) días calendario y dicta medidas de prevención y control del COVID-19 [Internet]. Diario Oficial del Bicentenario “El Peruano”. 2020.
Disponible en: https://busquedas.elperuano.pe/normaslegales/ decreto-supremo-que-declara-en-emergencia-sanitaria-a-niveldecreto-supremo-n-008-2020-sa-1863981-2/
Directiva Administrativa para la Implementación y Desarrollo de los Servicios de Teleorientación y Telemonitoreo. Resolución Ministerial N°146-2020-MINSA 2020 (31-03-20) [Internet]. Disponible en: https://www.gob.pe/institucion/minsa/normas-legales/466078-146-2020-minsa.
Medeiros Figueiredo A, Daponte-Codina A, Moreira Marculino DC, Toledo Vianna RP, Costa de Lima K, Gil-García E. Factores asociados a la incidencia y la mortalidad por COVID-19 en las comunidades autónomas. Gac Sanit. 2020.
Acosta G, Escobar G, Bernaola G, Alfaro J, Taype W, Marcos C, et al. Caracterización de pacientes con COVID-19 grave atendidos en un hospital de referencia nacional del Perú. Rev Peru Med Exp Salud Publica. 2020; 37(2): 253-8.
Llaro S, Gamarra V, Campos C. Características clínico-epidemiológicas y análisis de sobrevida en fallecidos por COVID-19 atendidos en establecimientos de la Red Sabogal-Callao 2020. Horiz Med. 2020; 20(2): e1229.
Mejía F, Medina C, Cornejo E, Morello E, Vásquez S, Alave J, et al. Características clínicas y factores asociados a mortalidad en pacientes adultos hospitalizados por COVID-19 en un hospital público de Lima, Perú. Public Health. 2020.
Zhang J-J, Dong X, Cao Y-Y, Yuan Y-D, Yang Y-B, Yan T-Q, et al. Clinical characteristics of 140 patients infected with SARSCoV-2 in Wuhan, China. Allergy. 2020; 75(7): 1730-41.
Yang J, Zheng Y, Gou X, Pu K, Chen Z, Guo Q, et al. Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis. Int J Infect Dis. 2020; 94: 91-5.
Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet. 2020; 8(5): 475-81.
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